Organization
IDEAL RECOVERY HOMES LLC
Active
Organization
IDEAL RECOVERY HOMES LLC
Active
Other names
Ideal Recovery Homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEYINKA UKONUMU (FACILITY ADMINISTRATOR)
(602) 413-7382
Entity
Organization
Contact information
Practice address
16967 W DIANA AVE, WADDELL, AZ 85355-7635
(602) 413-7382
Mailing address
16967 W DIANA AVE, WADDELL, AZ 85355-7635
(602) 413-7382
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
10/28/2024
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